WISHIN B OARD OF D IRECTORS June 22, 2011 WI SHI N B OARD OF D I - - PowerPoint PPT Presentation

June 22, 2011

WISHIN BOARD OF DIRECTORS

O PE

RAT I ONAL U PDAT E

WI SHI N BOARD OF DI

RE CT ORS

MILESTONES ACHIEVED

• Phase I RFP (for HISP Services to support Direct secure messaging)
• Was released on: May 31, 2011
• Vendor interest is good
• Technical Committee Workgroup will evaluate and score vendor responses
• Vendor Award on-target for completion by July 15, 2011
• Product Names Identified
• WISHIN Connect = name for HISP Qualification
• WISHIN Direct = name for HISP Services
• White Space Finalized for Lab and Pharmacy
• Wisconsin Lab White Space = 114 labs that cannot deliver electronic lab results
• Wisconsin Pharmacy White Space = 41 pharmacies that cannot accept electronic

prescriptions

• Potential Phase I Pilots Identified
• State Lab of Hygiene – Lab Results Delivery
• State Lab of Hygiene – Electronic Lab Reporting of Notifiable Results
• HIE Asset-to-HIE Asset (e.g., Marshfield Ministry to UW Hospitals & Clinics)
• White Space Lab-to-Physician

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ONC SI

T E VI SI T

WI SHI N BOARD OF DI

RE CT ORS

ONC SITE VISIT

• Excellent meeting – including board representation
• Lots of work to do:
• Site Visit Evaluation
• Breakthrough Goal
• 2011 Grantee Work Plan, includes updates on:

1. White Space (lab, pharmacy, clinical summary exchange)

• 2. Public Health (Electronic Lab Reporting, Immunizations, Syndromic Surveillance)
• 3. Stakeholder & Consumer Engagement
• 4. WISHIN Self-Evaluation (What is Success? How will we measure and track it?)
• 5. Look Ahead/Next Steps (beyond 2011).

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ONC SITE VISIT

Each 2011 work plan item includes the following dimensions:

• Goal
• Progress to date
• Strategy to get to goal in 2011
• Risks identified
• Barriers
• Strengths/best practices
• Technical assistance needed

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ONC SITE VISIT

BREAKTHROUGH GOAL

• ONC Guidance:
• A breakthrough goal is “audacious” and “bigger than the state HIE

program.”

• Consider goal that might already be part of other initiatives or
• therwise may exist irrespective of the HIE program.
• Don’t substantially add to costs.
• Consider addressing a problem that is of sufficient magnitude that

change can be measured and demonstrated.

• Consider impact on populations.

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ONC SITE VISIT

PROPOSED BREAKTHROUGH GOAL (CONCEPT)

• Reduce (preventable?) readmissions (for selected

diagnoses/DRGs?) by enabling the transmission/sharing of discharge summaries with appropriate providers/entities involved in follow-up care.

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ONC SITE VISIT

PROPOSED BREAKTHROUGH GOAL (CONCEPT)

• Consistent with WISHIN’s vision (“Promote and improve the health
• f individuals and communities in Wisconsin through the

development of HIE that facilitates electronic sharing of the right health information at the right place and right time.”)

• Readmissions can be viewed as a proxy for failed or incomplete

“handoffs” in transitions of care.

• Aligns with other statewide initiatives (WHIO, CMS 30-day

readmissions, Medicaid Managed Care measures, WHA/Wisconsin Office of Rural Health Preventable Readmission Study).

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ONC SITE VISIT

PROPOSED BREAKTHROUGH GOAL (CONCEPT)

• Data already being collected (WHA Information Center and/or

WHIO). Marginal cost could be minimal.

• There is likely enough room for improvement that the needle

can move perceptibly if HIE facilitates effective transitions of care.

• Some diagnoses/DRGs are relevant to population health.

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C OMMI

T T E E U PDAT E S

WI SHI N BOARD OF DI

RE CT ORS

COMMITTEE UPDATES

• Finance
• Technical Advisory
• Communications Advisory
• Policy Advisory

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FINANCE COMMITTEE

DHS-Proposed Contract Changes to Support WHIE

• Adds $350,000 to WISHIN’s funding, payable by WISHIN to WHIE. Does

not reduce already-agreed funding to WISHIN.

• Funds support continued availability of daily syndromic surveillance data

feed to Public Health and other data used in management of Medicaid beneficiaries.

• No additional duties/obligations for WISHIN beyond WISHIN’s current role

in determining how existing assets should be leveraged in the development and implementation of a SHIN.

• DHS’ existing contract with WISHIN provides a vehicle for prompt delivery
• f these funds during current state fiscal year.

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FINANCE COMMITTEE

Phase I services should be priced so as to:

• Reflect WISHIN’s actual costs to provide the services.
• Encourage early adopters.
• Help ensure that clients have critical mass of other clients with whom

to exchange information.

• Vary according to the number of users and/or the size of the client,

but not necessarily in a strictly linear fashion.

• Be compatible with “upgrade” pricing for optional value-added

services (including eventual Phase II services).

• Be easy for clients and potential clients to understand.
• Allow for an administratively simple invoicing process.

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PROGRESS: ADVISORY COMMITTEES

15

Policy Advisory Committee

• Workgroups are established

(6 total, 3 shared with Technical Advisory Committee)

Communications Advisory Committee

• Workgroups (2 total)have developed/identified:
• Product Names
• Market Segments
• Messages
• Outreach Channels
• Collateral Materials

Technical Advisory Committee

• Workgroups are established

(6 total, 3 shared with Policy Advisory Committee)

• Reviewed and provided input into Phase I RFP

COMMITTEE DELIVERABLES FOR 2011

Policy Committee Key Deliverables

1. Recommend / Develop Participation Agreements for:

a.

WISHIN Direct

b.

WISHIN Connect

2. Finalize Consent Management Plan 3. Recommend / Develop WISHIN Connect qualification requirements

Communications Committee Key Deliverables

1. Communications, Education & Marketing Plan for WISHIN Connect and WISHIN Direct 2. Develop marketing materials

1. What is WISHIN 2. 3 Steps to Meaningful Use: Adopt, Connect, Achieve 3. Continue work with WHITEC on promotional materials

3. Stand up updated WISHIN website 4. Begin Communications, Education & Marketing Plan for Phase II Services

Technical Committee Key Deliverables

1. Evaluate and Score Phase I RFP Responses 2. Recommend / Develop WISHIN Connect qualification requirements 3. Begin Efforts for a Phase II Plan and RFP

a.

Plan and Execute a Vendor Fair

b.

Define RFP Requirements

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NEXT UP: BOARD APPROVALS IN 2011

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Marketing Plans Legal & Policy Framework Update Draft Sustainability Plan Final Sustainability Plan

July September November* December* *Dates are tentative pending further ONC guidance.

APPROVAL OF C ONT

RACT S

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YAHARA SOFTWARE (WEB SITE)

• Web site is key to WISHIN’s market presence: WISHIN’s

“front door.”

• Simplified procurement per WISHIN policies and

procedures

• Yahara will:
• Design and code the Web site
• Provide robust content management system
• Position for future functionality expansions
• Cost ~$11,000.

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NEHII LICENSING AGREEMENT

• Nebraska statewide HIE began in 2007.
• NeHII makes policies and procedures available to other

states.

• No cost.
• Parties to the agreement must share any modifications or

additions with NeHII.

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